Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $21.88 / $53.70	Facility	26	$12.02	$21.88	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $95.50 / $489.78	Facility	TC	$32.36	$95.50	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $229.09	Professional		$35.48	$52.48	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $28.18 / $77.62	Professional	26	$12.02	$28.18	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $93.33	Professional	TC	$22.39	$33.11	$93.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $100.00 / $100.00	Facility	26	$31.62	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $204.17 / $204.17	Facility	TC	$79.43	$204.17	$204.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $316.23	Professional		$37.15	$61.66	$316.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.05 / $107.15	Professional	26	$12.30	$19.05	$107.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $295.12	Professional	TC	$28.18	$43.65	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.30 / $34.67	Professional	26	$15.49	$26.30	$34.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	TC	$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $134.90	Professional		$38.02	$70.79	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.91 / $41.69	Professional	26	$12.88	$22.91	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $91.20	Professional	TC	$26.92	$50.12	$91.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $47.86 / $91.20	Professional		$17.78	$47.86	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $138.04	Professional		$44.67	$72.44	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.95 / $34.67	Professional	26	$14.45	$19.95	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $60.26 / $95.50	Professional	TC	$31.62	$60.26	$95.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $72.44	Professional		$19.05	$27.54	$72.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $100.00 / $100.00	Facility	26	$31.62	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $204.17 / $204.17	Facility	TC	$79.43	$204.17	$204.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $316.23	Professional		$39.81	$61.66	$316.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.05 / $107.15	Professional	26	$12.30	$19.05	$107.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $295.12	Professional	TC	$28.84	$43.65	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $123.03	Professional		$44.67	$61.66	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.05 / $36.31	Professional	26	$14.45	$19.05	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $85.11	Professional	TC	$30.20	$42.66	$85.11